The Effect of a Suturing Technique on the Gingival Tissues Around Dental Implants

Damascus University

Status: Completed

Conditions: Edentulous Jaw; Gingival Diseases; Missing Teeth

Treatments: Procedure: Choukroun's technique

Study type: Interventional

Funder types: Other

Identifiers

NCT06496776

UDDS-OMFS-2-2024

Details and patient eligibility

About

There is general agreement that a thick zone of the keratinized tissues around implants promotes accurate prosthetic procedures, permits oral hygiene maintenance, resists recession, and enables esthetic blending with surrounding tissues. A new procedure called Choukroun's technique has been suggested, and it consists of a combination of horizontal apical mattress suture with regular suture to increase the keratinized tissue in the mandibular arch during the first stage after implantation. The proposed procedure has not been evaluated yet in a cohort of patients. Therefore, this study aimed to evaluate the impact of Choukroun's technique on the width and thickness of the keratinized gingiva after oral surgery.

Full description

A clinical trial will be conducted on patients referred to the Department of Oral and Maxillofacial Surgery at the Faculty of Dentistry, Al-Wataniya Private University, who have been referred to undergo dental implant surgery. The inclusion criteria for the study group were as follows: patients with mandibular missing teeth, good oral health, good general health, 18 to 70 years old, at least 1 mm thickness of keratinized gingiva, and at least 1 mm width of the attached gingiva. A total of 14 patients aged 27 to 67 years will be included in the study. After inserting the dental implants, the suturing will be conducted according to Choukroun's method.

The width and thickness of the keratinized gingiva will be assessed before surgery and at one and two months post-surgery. Repeated measures Analysis of Variance (ANOVA) will be applied to detect significant differences between assessment times.

Enrollment: 14 patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients with mandibular missing teeth
• Good oral health
• Good general health
• Male or female
• Age between 18 and 70 years old,
• Thickness of the keratinized gingiva is at least 1 mm,
• The width of the attached gingiva is at least 1 mm.

Exclusion criteria

• Patients who are smokers
• Pregnant or lactating women
• Patients with systemic diseases
• Patients who have been taking medication in the last six months that could influence wound healing after surgery and
• Patients with oral inflammation such as periodontal disease.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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14 participants in 1 patient group

Choukroun's method

Experimental group

Description:

Patients in this group will have a specific suturing technique (called Choukroun's method) after dental implant insertion.

Treatment:

Procedure: Choukroun's technique